Nutritional risk assessment and nutritional support in children with congenital diabetes during surgery.

IF 1.6 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Open Medicine Pub Date : 2025-06-26 eCollection Date: 2025-01-01 DOI:10.1515/med-2025-1204

Jiaoyan Lian, Fang Zhang, Haoyu Chen

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Abstract

Objective: This work investigated intraoperative nutritional risk and nutritional support for children with congenital diabetes.

Materials and methods: A total of 60 cases of children with congenital diabetes were assigned into two groups: the intravenous group (n = 30) and the oral group (n = 30). Medications were administered based on the actual conditions of patients. After surgery, the relationship between intraoperative nutritional risk score and glucose changes was studied.

Results: All patients had normal liver and kidney function. In the intravenous group, 26 cases had sufficient calorie intake. The numbers of cases with normal nutrition, malnutrition, and severe malnutrition were 7, 12, and 11, respectively. The incidences of infection, delayed wound healing (DWH), difficult glucose control (DGC), and respiratory system complications were 3, 6, 12, and 1, respectively. In the oral group, 21 cases had sufficient calorie intake. Numbers of cases with normal nutrition, malnutrition, and severe malnutrition were 8, 9, and 13, respectively. The incidences of infection, DWH, and DGC were 2, 6, and 9, respectively. Fasting blood glucose <6.5 mmol/L and body mass index <17.3 were independent risk factors affecting nutritional support.

Conclusion: Nutritional risk assessment and support during surgery for children with congenital diabetes were crucial for appropriate support.

Abstract Image

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先天性糖尿病患儿手术期间的营养风险评估和营养支持。

目的：探讨先天性糖尿病患儿术中营养风险及营养支持。材料与方法：将60例先天性糖尿病患儿分为静脉注射组（n = 30）和口服组（n = 30）。根据患者的实际情况给药。术后观察术中营养风险评分与血糖变化的关系。结果：所有患者肝肾功能正常。静脉注射组26例热量摄入充足。营养正常者7例，营养不良者12例，严重营养不良者11例。感染、伤口愈合延迟（DWH）、血糖控制困难（DGC）和呼吸系统并发症的发生率分别为3、6、12和1。在口服组，21例有足够的热量摄入。营养正常8例，营养不良9例，严重营养不良13例。感染、DWH、DGC发生率分别为2、6、9。结论：先天性糖尿病患儿手术期间的营养风险评估和支持对于提供适当的支持至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Open Medicine Medicine-General Medicine

CiteScore

3.00

自引率

0.00%

发文量

153

审稿时长

20 weeks

期刊介绍： Open Medicine is an open access journal that provides users with free, instant, and continued access to all content worldwide. The primary goal of the journal has always been a focus on maintaining the high quality of its published content. Its mission is to facilitate the exchange of ideas between medical science researchers from different countries. Papers connected to all fields of medicine and public health are welcomed. Open Medicine accepts submissions of research articles, reviews, case reports, letters to editor and book reviews.